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Massachusetts Department of Environmental Protection Provided by MassDEP:
Bureau of Resource Protection - Wetlands SE83-2508
WPA Form 5A — Restoration Order of MassDEP File#
Conditions YARMOUTH
Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 City/Town
H. Recording Information
Prior to commencement of work, this Restoration Order of Conditions must be recorded in the
Registry of Deeds or the Land Court for the district in which the land is located, within the chain
of title of the affected property. In the case of recorded land, the Final Restoration Order shall
also be noted in the Registry's Grantor Index under the name of the owner of the land subject
to the Restoration Order. In the case of registered land, this Restoration Order shall also be
noted on the Land Court Certificate of Title of the owner of the land subject to the Restoration
Order of Conditions. The recording information on this page shall be submitted to the
Conservation Commission listed below.
Yarmouth
Conservation Commission
Detach on dotted line, have stamped by the Registry of Deeds and submit to the Conservation
Commission.
To:
Yarmouth
Conservation Commission
Please be advised that the Restoration Order of Conditions for the Project at:
0 Rosetta Street SE83-2487
Project Location MassDEP File Number
Has been recorded at the Registry of Deeds of:
Barnstable 37488 112
County Book Page
For Cape Cod Hospital
Property Owner
and has been noted in the chain of title of the affected property in:
2115 15
Book Page
In accordance with the Restoration Order of Conditions issued on:
Date
If recorded land, the instrument number identifying this transaction is:
Instrument Number
If registered land, the document number identifying this transaction is:
Document Number
Signature of Applicant
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